@article{oai:repository.lib.tottori-u.ac.jp:00004765,
 author = {Matsumoto, Kensuke and Ohuchi, Yasufumi and Ohuchi, Yasufumi and Yata, Shinsaku and Adachi, Akira and Adachi, Akira and Endo, Masayuki and Endo, Masayuki and Takasugi, Shohei and Takasugi, Shohei and Fujii, Shinya and Fujii, Shinya and Hashimoto, Masayuki and Kaminou, Toshio and Ogawa, Toshihide and Fujiwara, Yoshikazu and Fujiwara, Yoshikazu and Saiki, Munehiro and Nishimura, Motonobu and Nishimura, Motonobu and Matsumoto, Kensuke and Yata, Shinsaku and Hashimoto, Masayuki and Kaminou, Toshio and Ogawa, Toshihide and Saiki, Munehiro},
 issue = {1},
 journal = {Yonago Acta Medica, Yonago Acta Medica},
 month = {Mar},
 note = {[Background] Left subclavian artery (LSA) embolization is occasionally required to prevent type II endoleak in the thoracic endovascular aortic repair (TEVAR) procedure. This is a retrospective study comparing compressed Amplatzer Vascular Plug II embolization (CAE) and conventional coil embolization (CCE) in preventing retrograde flow into the aneurysmal sac through the LSA after TEVAR. [Methods] We retrospectively reviewed the records of patients who underwent CAE or CCE of the LSA during TEVAR from June 2013 to March 2016 in our hospital. The efficacy, safety and cost of each method were compared between two groups. [Results] Thirty patients underwent LSA embolization during TEVAR. Six CCEs in 6 patients were performed from June 2013 to November 2013, while twenty-four CAEs in 24 patients were performed from December 2013 to March 2016. Technical success was achieved in all patients in both groups. No embolization-related complications or type II endoleaks from LSA were recorded during the follow-up period in all patients. In both groups, all embolic materials were detected in the proximal portion of the LSA from the LSA orifice to the vertebral artery origin and no vertebral artery occlusions were detected. The mean compression ratio of AVP II was 58 ± 5.9% of predicted length of standard procedure. In the CAE group, one AVP II was sufficient to achieve complete LSA occlusion in all patients. On the other hand, multiple coils (10.2 ± 2.7) were used in the CCE group (P < .01), resulting in a significantly lower cost incurred in the CAE group (CAE: 129,000 JPY vs. CCE: 639,600 ± 140,060 JPY; P < .01). [Conclusion] The CAE is a useful and cost-effective procedure for TEVAR-related LSA embolization.},
 pages = {24--29},
 title = {Compressed Amplatzer Vascular Plug II Embolization of the Left Subclavian Artery for Thoracic Endovascular Aortic Repair is Efficient and Safety Method Comparable to Conventional Coil Embolization},
 volume = {62},
 year = {2019},
 yomi = {オオウチ, ヤスフミ and アダチ, アキラ and エンドウ, マサユキ and タカスギ, ショウヘイ and フジイ, シンヤ and フジワラ, ヨシカズ and サイキ, ムネヒロ and ニシムラ, モトノブ and サイキ, ムネヒロ}
}